By the Numbers: Anterior Segment II CAP Summary

October 27, 2023

This is the second in a series of articles summarizing the results of the triannual CAP assessments. ABO Diplomates who took the assessment may be curious about their performance in comparison to their colleagues. Others may be interested in survey responses showing the impact of the readings and preparation for the assessment on Diplomates’ patient care.

Please note that we’re unable to provide direct answers to specific questions as some Diplomates will be retaking the assessment in their fourth year.

If there is specific information that you’d like to see in future CAP summaries that we haven’t provided here, please let us know.

Anterior Segment II CAP Assessment

Overall Performance

Dates available: May 15, 2023 through August 31, 2023
Pass/fail cut point: 80% (20/25 questions)
Passing rate: 99.5%
Average score: 93.2% (23.3/25 questions correct)

 Performance by Question   

Demodex article (Questions 1-4): Average percentage correct: 98.5%
Idiopathic uveitis article (Questions 5-9): Average percentage correct: 97.4%
Episcleritis and scleritis article (Questions 10-12): Average percentage correct: 89.7%
Fundamental knowledge (Questions 13-25): Average percentage correct: 90.8%
Easiest questions: 10 questions had 99% correct!
Most difficult question (62% correct): Question 24 (patient with rheumatoid arthritis and dry eye symptoms)

Timing            

Average time to answer each question: 73 seconds
Demodex article (Questions 1-4): Average time to answer: 76 seconds
Idiopathic uveitis article (Questions 5-9): Average time to answer: 80 seconds
Episcleritis and scleritis article (Questions 10-12): Average time to answer: 99 seconds
Fundamental knowledge (Questions 13-25): Average time to answer:  63 seconds

Survey Responses

How will your practice behavior change as a result of the “Demodex Blepharitis” article?  (Select all that apply)

5.4% I do not anticipate implementing any changes.
31.2%My current practice will not change, but it has been reinforced by the information in this article.
1.5% I need more information before making changes to my practice
46.5%I will be more aware of the possibility of Demodex infiltration in patients with blepharitis symptoms.
30.9%I will treat patients with signs of Demodex blepharitis more aggressively.

How will your practice behavior change as a result of the “Idiopathic Uveitis” article?  (Select all that apply)

5.2%I do not anticipate implementing any changes.
34.1%My current practice will not change, but it has been reinforced by the information in this article.
1.8%I need more information before making changes to my practice.
34.4%I will be more thorough and specific in the ROS when a patient presents with uveitis.
21.6%I will be more likely to order lab testing in my patients with uveitis.
22.6%I will be more confident in my ability to order appropriate lab testing in patients with uveitis based on presentation and ROS.

How will your practice behavior change as a result of the “Episcleritis and scleritis associated with rheumatoid arthritis” article?  (Select all that apply)

5.6%I do not anticipate implementing any changes
36.8%My current practice will not change, but it has been reinforced by the information in this article.
2.7%I need more information before making changes to my practice.
44.4%I am likely to change the way I educate patients with rheumatoid arthritis about associated ocular conditions.
43.7%I am more confident in my ability to differentiate between episcleritis and scleritis.

Which of the following best describes your experience with the fundamental knowledge (FK) section of this assessment? 

35.0%I’m confident in my knowledge of anterior segment topics and the FK section did nothing to change that.
19.6%I was confident in my knowledge of anterior segment topics, but now realize that I need to improve/update my knowledge.
44.6%I’m now more confident in my overall knowledge of anterior segment topics.
0.7%I’m not very confident in my knowledge of anterior segment topics and the FK section did nothing to change that.
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